REGISTER YOUR COUNCIL

Register your council with MobileMuster today.

To register your council with the MobileMuster program, just
complete the form below. Once you're on board, we'll provide you
with free collection units, promotional materials and support. We
also offer a free pick-up service - you can book a pick-up by
calling 1800 249 113.

MobileMuster Organisation & Government Registration Form

Participating in MobileMuster is free

*mandatory

Are you planning a one off collection or an ongoing collection?

Contact Details

Name of Organisation*

Contact Title*

Contact First Name*

Contact Surname*

Please provide a street address. We are unable to deliver to a
PO Box address.

Level Number

(eg: Level 3)

Building Name^

(eg: Centrepoint Tower Chatswood Chase)

Street No.^

(Street Number only)

Street Name*^

Suburb*^

State*^

Postcode*^

Phone Number*

Mobile Number

Email Address*

Website

Your Local Council

Would you like your site to be listed as a public drop off?

^ these fields will be used to generate a location map.

Additional Site

Site Name

Site Contact Name

Site Phone Number

Email Address

Level Number

(eg: Level 3)

Building Name^

(eg: Centrepoint Tower Chatswood Chase)

Street No.^

(Street Number only)

Street Name^

Suburb^

State^

Postcode^

Your Local Council

Would you like your additional site to be listed as a public drop off?

^ these fields will be used to generate a location map.

If you have more sites, please let us know in the "Additional Comments"
box below.

Other Details

Please indicate which of these statements best describes your organisation. This
will help us provide you with the most appropriate material.

* I agree to confer ownership
of all mobile phones and mobile components collected for recycling to AMTA. I will
not re-use or re-sell any mobile phones or mobile phones collected on behalf of
MobileMuster.